Da Vinci Payer Data Exchange
2.2.0 - STU 2.2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

: PDex Adjudication Discriminator - TTL Representation

Page standards status: Trial-use Maturity Level: 2

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/PDexAdjudicationDiscriminator> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "PDexAdjudicationDiscriminator"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem PDexAdjudicationDiscriminator</b></p><a name=\"PDexAdjudicationDiscriminator\"> </a><a name=\"hcPDexAdjudicationDiscriminator\"> </a><p>This case-insensitive code system <code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">allowedunits<a name=\"PDexAdjudicationDiscriminator-allowedunits\"> </a></td><td>allowed units</td><td>defines the adjudication slice to define allowed units</td></tr><tr><td style=\"white-space:nowrap\">consumedunits<a name=\"PDexAdjudicationDiscriminator-consumedunits\"> </a></td><td>consumed units</td><td>defines the adjudication slice to define consumed units</td></tr><tr><td style=\"white-space:nowrap\">denialreason<a name=\"PDexAdjudicationDiscriminator-denialreason\"> </a></td><td>Denial Reason</td><td>defines the adjudication slice to identify the denial reason</td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:Extension.valueCode [ fhir:value "fm" ]
  ], [
     fhir:index 1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
     fhir:Extension.valueInteger [
       fhir:value "2"^^xsd:integer ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex" ;
           fhir:link <http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex>
         ]
       ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
     fhir:Extension.valueCode [
       fhir:value "trial-use" ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex" ;
           fhir:link <http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex>
         ]
       ]
     ]
  ] ;
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator"] ;
  fhir:CodeSystem.version [ fhir:value "2.2.0"] ;
  fhir:CodeSystem.name [ fhir:value "PDexAdjudicationDiscriminator"] ;
  fhir:CodeSystem.title [ fhir:value "PDex Adjudication Discriminator"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-06-29T15:03:38+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "HL7 International / Financial Management"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "HL7 International / Financial Management" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "fm@lists.HL7.org" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Mark Scrimshire (mark.scrimshire@onyxhealth.io)" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "mailto:mark.scrimshire@onyxhealth.io" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:ContactDetail.name [ fhir:value "HL7 International - Financial Management" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Used as the discriminator for the data elements in adjudication and item.adjudication"] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "US" ] ;
       fhir:Coding.display [ fhir:value "United States of America" ]
     ]
  ] ;
  fhir:CodeSystem.copyright [ fhir:value "This CodeSystem is not copyrighted."] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "3"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "allowedunits" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "allowed units" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "defines the adjudication slice to define allowed units" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "consumedunits" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "consumed units" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "defines the adjudication slice to define consumed units" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "denialreason" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Denial Reason" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "defines the adjudication slice to identify the denial reason" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/PDexAdjudicationDiscriminator.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/PDexAdjudicationDiscriminator.ttl> .